Results 1 to 9 of 9

HPI Question

  1. #1
    Default HPI Question
    Medical Coding Books
    Physician states in CC "small cell lung carcinoma, here for further therapy" Could you give credit to modifying factors in the HPI for "further therapy" knowing that chemo was the therapy given in past visits?

  2. #2
    Default
    I only give credit to modifying factors if the provider states what the result of the factor was, either getting better, not getting better with treatment or side effects of the modifying factor.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  3. #3
    Default
    Quote Originally Posted by missy874 View Post
    I only give credit to modifying factors if the provider states what the result of the factor was, either getting better, not getting better with treatment or side effects of the modifying factor.
    As per E/M coding tool for History it states "MF: factors that relieve, limit or have no effect on a symptom" That being said the MF would be included, I'm not sure if the physicians verbiage would allow me to use it.
    Last edited by Tonyj; 10-07-2011 at 08:18 AM.

  4. #4
    Location
    Ellenville, New York
    Posts
    1,176
    Default Agree with Tonyj
    Without documentation as to the reason for further therapy, I would hesitate to use it for any points.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  5. #5
    Default
    Quote Originally Posted by MnTwins29 View Post
    Without documentation as to the reason for further therapy, I would hesitate to use it for any points.
    I know the reason for further therapy (chemo) which is mentioned in the A/P as "proceed with therapy". My dilemma is feeling comfortable using it as a modifying factor since it isn't mentioned specifically in the HPI.

  6. #6
    Default
    I agree with not using it. The provider isnt stating what the effect is...in fact, he is ordering it. IF the provider said the patient was experiencing anything from past or current chemo then its a modifying factor.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  7. #7
    Default
    Much thanks for your input.

  8. #8
    Location
    Milwaukee WI
    Posts
    4,466
    Default E/M not allowed with Chemo
    I thought you were not allowed to bill an E/M with chemotherapy (same DOS).

    Not my area of expertise, so I may not be remembering this correctly ...

    F Tessa Bartels, CPC, CEMC

  9. #9
    Default
    Quote Originally Posted by FTessaBartels View Post
    I thought you were not allowed to bill an E/M with chemotherapy (same DOS).

    Not my area of expertise, so I may not be remembering this correctly ...

    F Tessa Bartels, CPC, CEMC
    Yes, with modifier 25

Similar Threads

  1. HPI Question----HELP
    By despinoza in forum Auditing General Discussion
    Replies: 2
    Last Post: 10-06-2015, 10:55 PM
  2. HPI Question
    By LindsayC in forum E/M
    Replies: 5
    Last Post: 08-12-2014, 01:28 PM
  3. HPI question
    By vkratzer in forum E/M
    Replies: 1
    Last Post: 12-28-2012, 10:44 AM
  4. HPI Question - accidently stapled
    By LindsayC in forum E/M
    Replies: 3
    Last Post: 09-04-2012, 04:44 PM
  5. An HPI Question
    By dballard2004 in forum E/M
    Replies: 13
    Last Post: 06-17-2010, 07:37 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.